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Lack in Periodontal Care of Patients Suffering from Severe Heart Diseases—Results after 12 Months Follow-Up

Background: To assess whether the standardized recommendation of patients with heart failure (HF), left-ventricular assist device (LVAD) and heart transplantation (HTx) to visit their dentist leads to improved oral conditions after 12 months. Methods: Patients from the Department of Cardiothoracic S...

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Autores principales: Ziebolz, Dirk, Friedrich, Sylvia, Binner, Christian, Rast, Josephine, Eisner, Mirjam, Wagner, Justus, Schmickler, Jan, Kottmann, Tanja, Haak, Rainer, Borger, Michael A., Lehmann, Sven, Oberbach, Andreas, Garbade, Jens, Schmalz, Gerhard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073650/
https://www.ncbi.nlm.nih.gov/pubmed/32012698
http://dx.doi.org/10.3390/jcm9020352
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author Ziebolz, Dirk
Friedrich, Sylvia
Binner, Christian
Rast, Josephine
Eisner, Mirjam
Wagner, Justus
Schmickler, Jan
Kottmann, Tanja
Haak, Rainer
Borger, Michael A.
Lehmann, Sven
Oberbach, Andreas
Garbade, Jens
Schmalz, Gerhard
author_facet Ziebolz, Dirk
Friedrich, Sylvia
Binner, Christian
Rast, Josephine
Eisner, Mirjam
Wagner, Justus
Schmickler, Jan
Kottmann, Tanja
Haak, Rainer
Borger, Michael A.
Lehmann, Sven
Oberbach, Andreas
Garbade, Jens
Schmalz, Gerhard
author_sort Ziebolz, Dirk
collection PubMed
description Background: To assess whether the standardized recommendation of patients with heart failure (HF), left-ventricular assist device (LVAD) and heart transplantation (HTx) to visit their dentist leads to improved oral conditions after 12 months. Methods: Patients from the Department of Cardiothoracic Surgery, Leipzig Heart Centre, Germany were examined at baseline and after 12 months. A dental (decayed-, missing-, and filled-teeth index (DMF-T)) and periodontal examination (periodontal probing depth, clinical attachment loss) was performed. At baseline, patients received a standardized recommendation to visit their dentist. At follow-up, a standardized questionnaire regarding the dental consultation was applied. Results: Eighty-eight participants (HTx: 31, LVAD: 43, HF: 14) were included. The majority of patients (79.5%) followed the recommendation to visit their dentist. Within the total cohort, periodontal treatment need was significantly reduced from 91% (baseline) to 75% (follow-up; p < 0.01). Only 10% of total cohort stated that they received periodontal treatment. The outcome in periodontal and dental treatment need at follow-up appointment revealed no statistically significant associations to the questionnaire regarding dentist consultation (p > 0.05). Conclusions: The simple recommendation to visit the dentist appears not enough to obtain sufficient dental and periodontal conditions in patients with severe heart diseases. Thereby, a lack in periodontal treatment of patients with HF, HTx and LVAD was identified, making interdisciplinary dental special care programs recommendable.
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spelling pubmed-70736502020-03-19 Lack in Periodontal Care of Patients Suffering from Severe Heart Diseases—Results after 12 Months Follow-Up Ziebolz, Dirk Friedrich, Sylvia Binner, Christian Rast, Josephine Eisner, Mirjam Wagner, Justus Schmickler, Jan Kottmann, Tanja Haak, Rainer Borger, Michael A. Lehmann, Sven Oberbach, Andreas Garbade, Jens Schmalz, Gerhard J Clin Med Article Background: To assess whether the standardized recommendation of patients with heart failure (HF), left-ventricular assist device (LVAD) and heart transplantation (HTx) to visit their dentist leads to improved oral conditions after 12 months. Methods: Patients from the Department of Cardiothoracic Surgery, Leipzig Heart Centre, Germany were examined at baseline and after 12 months. A dental (decayed-, missing-, and filled-teeth index (DMF-T)) and periodontal examination (periodontal probing depth, clinical attachment loss) was performed. At baseline, patients received a standardized recommendation to visit their dentist. At follow-up, a standardized questionnaire regarding the dental consultation was applied. Results: Eighty-eight participants (HTx: 31, LVAD: 43, HF: 14) were included. The majority of patients (79.5%) followed the recommendation to visit their dentist. Within the total cohort, periodontal treatment need was significantly reduced from 91% (baseline) to 75% (follow-up; p < 0.01). Only 10% of total cohort stated that they received periodontal treatment. The outcome in periodontal and dental treatment need at follow-up appointment revealed no statistically significant associations to the questionnaire regarding dentist consultation (p > 0.05). Conclusions: The simple recommendation to visit the dentist appears not enough to obtain sufficient dental and periodontal conditions in patients with severe heart diseases. Thereby, a lack in periodontal treatment of patients with HF, HTx and LVAD was identified, making interdisciplinary dental special care programs recommendable. MDPI 2020-01-27 /pmc/articles/PMC7073650/ /pubmed/32012698 http://dx.doi.org/10.3390/jcm9020352 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ziebolz, Dirk
Friedrich, Sylvia
Binner, Christian
Rast, Josephine
Eisner, Mirjam
Wagner, Justus
Schmickler, Jan
Kottmann, Tanja
Haak, Rainer
Borger, Michael A.
Lehmann, Sven
Oberbach, Andreas
Garbade, Jens
Schmalz, Gerhard
Lack in Periodontal Care of Patients Suffering from Severe Heart Diseases—Results after 12 Months Follow-Up
title Lack in Periodontal Care of Patients Suffering from Severe Heart Diseases—Results after 12 Months Follow-Up
title_full Lack in Periodontal Care of Patients Suffering from Severe Heart Diseases—Results after 12 Months Follow-Up
title_fullStr Lack in Periodontal Care of Patients Suffering from Severe Heart Diseases—Results after 12 Months Follow-Up
title_full_unstemmed Lack in Periodontal Care of Patients Suffering from Severe Heart Diseases—Results after 12 Months Follow-Up
title_short Lack in Periodontal Care of Patients Suffering from Severe Heart Diseases—Results after 12 Months Follow-Up
title_sort lack in periodontal care of patients suffering from severe heart diseases—results after 12 months follow-up
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073650/
https://www.ncbi.nlm.nih.gov/pubmed/32012698
http://dx.doi.org/10.3390/jcm9020352
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